Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study

Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study

Thi My Hanh Pham,1,2 Chien Thang Nguyen,1 Quoc Tung Mai,2 Thi Huong Giang Bui,2 Dung Hoa Do,2 Peter McCluskey,3 Trong Van Pham2 1Department of Ophthalmology, 103 Military Hospital, Hanoi, Vietnam; 2Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam; 3Department of Ophthalmology, U...

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Autores principales: Pham TMH, Nguyen CT, Mai QT, Bui THG, Do DH, McCluskey P, Pham TV
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
endoscopy
graves orbitopathy
decompression
optic neuropathy
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/9ae8325ce4ad4edc8e0d8877fa9334c3
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spelling oai:doaj.org-article:9ae8325ce4ad4edc8e0d8877fa9334c32021-12-02T17:32:13ZEndoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study1177-5483https://doaj.org/article/9ae8325ce4ad4edc8e0d8877fa9334c32021-04-01T00:00:00Zhttps://www.dovepress.com/endoscopic-orbital-decompression-for-gravesrsquo-orbitopathy-ndash-a-v-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Thi My Hanh Pham,1,2 Chien Thang Nguyen,1 Quoc Tung Mai,2 Thi Huong Giang Bui,2 Dung Hoa Do,2 Peter McCluskey,3 Trong Van Pham2 1Department of Ophthalmology, 103 Military Hospital, Hanoi, Vietnam; 2Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam; 3Department of Ophthalmology, University of Sydney, Sydney, NSW, AustraliaCorrespondence: Quoc Tung MaiTung Department of Ophthalmology, Hanoi Medical University, 1 Ton That Tung Street, Hanoi, 100000, VietnamTel +84 915644181Email maiquoctung@hmu.edu.vnPurpose: To evaluate the efficacy and safety of endoscopic orbital decompression in patients with Graves’ orbitopathy.Patients and Methods: This is a prospective study in Hanoi Medical University and a Military Hospital from December 2017 to December 2018. Twenty-eight orbits of fifteen patients were undergoing endoscopic orbital decompression for Graves’ orbitopathy. Indications for surgery were proptosis in twenty-two orbits and compressive optic neuropathy in six orbits. The outcome measures were proptosis reduction, visual acuity, visual field test and diplopia. Post-operative complications including cerebrospinal fluid leakage, haemorrhage, lacrimal duct impairment, worsening diplopia, sinusitis and cellulitis were collected.Results: The mean proptosis reduction was 2.23 mm. Visual acuity and medium deviation in the Humphrey visual field were significantly improved in four of six eyes with compressive optic neuropathy. There was one patient with intra-operative excessive bleeding which resolved without affecting visual outcome. Post-operatively, two patients developed a new onset of diplopia and two others worsened diplopia; three have already undergone successful strabismus surgery and moderate proptosis reduction.Conclusion: Endoscopic orbital decompression surgery was effectively and safely to manage compressive optic neuropathy of Graves’ orbitopathy and moderately reduce proptosis in a group of Vietnamese patients.Keywords: endoscopy, Graves‘ orbitopathy, decompression, optic neuropathyPham TMHNguyen CTMai QTBui THGDo DHMcCluskey PPham TVDove Medical Pressarticleendoscopygraves orbitopathydecompressionoptic neuropathyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1685-1690 (2021)
institution DOAJ
collection DOAJ
language EN
topic endoscopy
graves orbitopathy
decompression
optic neuropathy
Ophthalmology
RE1-994
spellingShingle endoscopy
graves orbitopathy
decompression
optic neuropathy
Ophthalmology
RE1-994
Pham TMH
Nguyen CT
Mai QT
Bui THG
Do DH
McCluskey P
Pham TV
Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
description Thi My Hanh Pham,1,2 Chien Thang Nguyen,1 Quoc Tung Mai,2 Thi Huong Giang Bui,2 Dung Hoa Do,2 Peter McCluskey,3 Trong Van Pham2 1Department of Ophthalmology, 103 Military Hospital, Hanoi, Vietnam; 2Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam; 3Department of Ophthalmology, University of Sydney, Sydney, NSW, AustraliaCorrespondence: Quoc Tung MaiTung Department of Ophthalmology, Hanoi Medical University, 1 Ton That Tung Street, Hanoi, 100000, VietnamTel +84 915644181Email maiquoctung@hmu.edu.vnPurpose: To evaluate the efficacy and safety of endoscopic orbital decompression in patients with Graves’ orbitopathy.Patients and Methods: This is a prospective study in Hanoi Medical University and a Military Hospital from December 2017 to December 2018. Twenty-eight orbits of fifteen patients were undergoing endoscopic orbital decompression for Graves’ orbitopathy. Indications for surgery were proptosis in twenty-two orbits and compressive optic neuropathy in six orbits. The outcome measures were proptosis reduction, visual acuity, visual field test and diplopia. Post-operative complications including cerebrospinal fluid leakage, haemorrhage, lacrimal duct impairment, worsening diplopia, sinusitis and cellulitis were collected.Results: The mean proptosis reduction was 2.23 mm. Visual acuity and medium deviation in the Humphrey visual field were significantly improved in four of six eyes with compressive optic neuropathy. There was one patient with intra-operative excessive bleeding which resolved without affecting visual outcome. Post-operatively, two patients developed a new onset of diplopia and two others worsened diplopia; three have already undergone successful strabismus surgery and moderate proptosis reduction.Conclusion: Endoscopic orbital decompression surgery was effectively and safely to manage compressive optic neuropathy of Graves’ orbitopathy and moderately reduce proptosis in a group of Vietnamese patients.Keywords: endoscopy, Graves‘ orbitopathy, decompression, optic neuropathy
format article
author Pham TMH
Nguyen CT
Mai QT
Bui THG
Do DH
McCluskey P
Pham TV
author_facet Pham TMH
Nguyen CT
Mai QT
Bui THG
Do DH
McCluskey P
Pham TV
author_sort Pham TMH
title Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
title_short Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
title_full Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
title_fullStr Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
title_full_unstemmed Endoscopic Orbital Decompression for Graves’ Orbitopathy – A Vietnam Study
title_sort endoscopic orbital decompression for graves’ orbitopathy – a vietnam study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/9ae8325ce4ad4edc8e0d8877fa9334c3
work_keys_str_mv AT phamtmh endoscopicorbitaldecompressionforgravesrsquoorbitopathyndashavietnamstudy
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AT buithg endoscopicorbitaldecompressionforgravesrsquoorbitopathyndashavietnamstudy
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